Provider Demographics
NPI:1104122571
Name:ZELOMARA PLUS HOME HEALTH,INC.(HOSPICE DIVISION)
Entity type:Organization
Organization Name:ZELOMARA PLUS HOME HEALTH,INC.(HOSPICE DIVISION)
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:ZENAIDA
Authorized Official - Middle Name:C
Authorized Official - Last Name:CRUZ
Authorized Official - Suffix:
Authorized Official - Credentials:RN,BSN,CMSRN
Authorized Official - Phone:714-595-1723
Mailing Address - Street 1:12235 BEACH BLVD STE 200D
Mailing Address - Street 2:
Mailing Address - City:STANTON
Mailing Address - State:CA
Mailing Address - Zip Code:90680-3953
Mailing Address - Country:US
Mailing Address - Phone:714-896-9788
Mailing Address - Fax:714-896-9188
Practice Address - Street 1:12235 BEACH BLVD STE 200D
Practice Address - Street 2:
Practice Address - City:STANTON
Practice Address - State:CA
Practice Address - Zip Code:90680-3953
Practice Address - Country:US
Practice Address - Phone:714-896-9788
Practice Address - Fax:714-896-9188
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ZELOMARA PLUS HOME HEALTH,INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2011-02-02
Last Update Date:2011-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based